• Tanya Shcherbaeva, Muallem KalmovichLimorLFrom the Department of Otolaryngology-Head and Neck Surgery., Tzippora Shalem, Efrat Broide, Haim Gavriel, and Jacob Pitaro.
• From the Department of Otolaryngology-Head and Neck Surgery.
• Pediatr Emerg Care. 2022 Sep 1; 38 (9): e1541e1544e1541-e1544.

ObjectivesCaustic ingestion in children is a significant cause of morbidity despite preventive measures. Upon arrival to the emergency department, these children are often initially seen by the otolaryngologist and later on by the gastroenterologist. This study aimed to determine which otolaryngological and gastrointestinal signs and symptoms can better predict abnormal findings on imaging, esophagogastroduodenoscopy (EGD), and complications development.MethodsWe performed a retrospective chart review of children 18 years or younger admitted because of caustic ingestion between January 2007 and November 2019.ResultsForty-one children with a median age of 4.2 years (interquartile range, 1.7-16.7 years) were included; of them, 22 (53.6%) were males. Nineteen children (46.3%) underwent EGD, which revealed no pathology in 13 cases (68.4%). Most ingested substances were in the form of liquid (82.9%), accidentally ingested (82.9%), and with an alkaline pH (57.5%). Stridor, dyspnea, drooling, abnormal oral cavity findings, dysphagia, and vomiting were significantly associated with pathological findings on imaging and/or EGD and/or complications development ( P = 0.028, P = 0.028, P = 0.022, P = 0.02, P < 0.001, and P = 0.01 respectively). Laryngopharyngeal group of findings (dyspnea, stridor, hoarseness, sore throat, and/or drooling) predicted a higher risk for complications development than the gastrointestinal group (dysphagia, abdominal pain, vomiting, or abdominal swelling and/or tenderness) ( P = 0.011, P = 0.31 respectively).ConclusionsIn children, after caustics ingestion, laryngopharyngeal signs and symptoms may predict a higher risk for complications development in comparison with gastrointestinal signs and symptoms. We therefore stress the importance of otolaryngological examination upon arrival to the emergency department.Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.

34 keywords...

hide…